Test 2017-06-17-2-5 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
Sample Information
Sample Taken Date6/17/2017 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing6/17/2017
Sample typeQuality Control A brief description of the samplerock and sand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byDennis Last name of sampler or witnessed byRodriguez
Title of samplerQC Field Technician Laboratory sample identificationMix G3-15-590-3600
The fabricator/manufacturer/facility nameSecurity Paving - Florance Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0025
The fabricator's/manufacturer's product name for the sampleset 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBatch Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-15-590-3600 Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2017-06-17-2
DIME Test ID: 2017-06-17-2-5
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2017-07-18
Test Results

Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Calculated
Tester's full name: Francisco Miranda
Date of test: 06/17/2017
Cleanness value (single primary size):91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 07/18/2017